Evidence map›Paper›PMID 41165524›Full record

ArticleESC heart failure2025

Cardioimmunologic response patterns after an acute heart failure event: Design and first results of AHF-ImmunoCS.

Niklas Beyersdorf, Boshra Afshar, Dora Pelin, Maximilian Bauser, Elisa Kaiser, Janna Lamers, Jannika Pätkau, Mairin Heil, Dennis Göpfert, Hanna Hepp and 10 more

Abstract read
In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Niklas BeyersdorfInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Boshra AfsharInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Dora PelinDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Maximilian BauserDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Elisa KaiserDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Janna LamersDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Jannika PätkauDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Mairin HeilInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Dennis GöpfertDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Hanna HeppInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Wafaa Al HassanInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Thomas KerkauInstitute for Virology and Immunobiology, University of Würzburg, Würzburg, Germany.
Fabian KerwagenDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Roland JahnsInterdisciplinary Bank of Biological Materials and Data Würzburg (IBDW), University Hospital Würzburg, Würzburg, Germany.
Valerie Boivin-JahnsInstitute for Pharmacology and Toxicology, University of Würzburg, Würzburg, Germany.
Stefan FrantzDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Gustavo RamosDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Ulrich HofmannDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Stefan StörkDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Caroline MorbachDepartment Clinical Research and Epidemiology, Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe have previously shown that patients who develop heart-reactive antibodies (HRAs) de novo after a heart failure (HF) hospitalization are at increased risk of adverse outcomes, lending weight to the hypothesis that B cells may play a pivotal role in HF progression. We therefore aim to further elucidate the adaptive immune response to an acute HF event, with a particular focus on the factors that lead to incident HRAs and their relation to worsening cardiac function and prognosis. METHODS AND

resultsThe Acute Heart Failure Immunomonitoring Cohort Study (AHF-ImmunoCS) is a prospective monocentric cohort study. Patients are enrolled consecutively during hospitalization for AHF and undergo detailed phenotyping at baseline and at 6-week, 6-, 12- and 18-month follow-up visits. Patient sera are screened for HRAs by immunofluorescence testing (IFT) as well as by using defined cardiac antigens immobilized on beads. By 31 December 2023, we had included 259: 38% women, mean age 72 (SD 13) years, 37% de novo HF, median left ventricular ejection fraction 50 (quartiles 35, 56) %. Preliminary data of the first 59 patients (42% women, mean 72 (14) years) showed that 80% of patients exhibiting seroconversion had done so within 6 weeks.

conclusionAHF-ImmunoCS is enrolling a representative cohort of HF patients. Our preliminary data confirm that seroconversion to HRAs occurs early after hospitalization for HF in a subgroup of patients. The full study can be expected to clarify how changes in HRA profiles relate to prognosis and may pave the way for novel immunotherapeutic approaches to acute heart failure.

Indexed as

AutoantibodiesHeart FailureStroke VolumeVentricular Function, LeftAcute DiseaseAgedDisease ProgressionFemaleFollow-Up StudiesHospitalizationHumansMaleMiddle AgedPrognosisProspective StudiesAutoantibodiesadaptive immune responseB cellheart‐reactive antibodyprognosisworsening heart failure

Identifiers

PMID41165524
PMCPMC12719870

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.